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Comparison of ONC & LTPAC EHR Functional Criteria AND Testimony to HITPC C/A Workgroup (Summary & Detail Slides). January 10, 2014 (U pdated 1/17/2014 ) Jennie Harvell , HHS/ASPE Sue Mitchell, Independent Consultant. Table of Contents. Privacy and Security Slide 3
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Comparison of ONC & LTPAC EHR Functional CriteriaANDTestimony to HITPC C/A Workgroup(Summary & Detail Slides) January 10, 2014 (Updated 1/17/2014) Jennie Harvell, HHS/ASPE Sue Mitchell, Independent Consultant
Table of Contents • Privacy and Security • Slide 3 • Summary Care Record at TOC/Referral • Slide 18 • Clinical Summary • Slide 28 • View, Download, Transmit • Slide 32 • Data Portability • Slide 40 • Patient Demographics • Slide 44 • Clinical Health Information • Slide 47 • Medication Related Criteria • Slide 55 • Incorporate Laboratory Tests & Values/Results • Slide 64 • Clinical Decision Support • Slide 68 • Advance Care Planning • Slide 79 • Clinical Quality Measures • Slide 84 • Public Health • Slide 92 • Patient-Specific Education Resources • Slide 100 • LTPAC Setting Specific EHR-S Requirements • Slide 103
Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Privacy & Security related criteria: • Authentication, Access Control & Authorization • Auditable Events & Tamper-Resistance • Audit Report(s) • Amendments • Automatic Log-Off • Emergency Access • End-User Device Encryption • Integrity • Optional – Accounting of Disclosures
Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011
Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011
Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011
Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011
Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011
Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011
Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011
Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011
Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011
Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Summary Care Record at TOC/Referral • Receive, Display, and Incorporate TOC/Referral Summaries • Create and Transmit TOC/Referral Summaries
Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Summary Care Record at TOC/Referral – ONC Requirements Found in LTC FP & CCHIT 2011 LTPAC
Summary Care Record at TOC/Referral – ONC Requirements Found in LTC FP & CCHIT 2011 LTPAC
Summary Care Record at TOC/Referral – ONC Requirements Found in LTC FP & CCHIT 2011 LTPAC
Summary Care Record at TOC/Referral – LTC FP & CCHIT Requirements NOT in ONC 2014 Edition • ONC requirements for ToC/Summary Care Records do not require or reference the inclusion of some clinical content important to LTPAC providers and included in the LTC FP (see bold text): • DC.1.1.4, cc#3: The system SHALL provide the ability to produce a CCD that includes at least the following sections: Advance Directives, Problems, Alerts, and Medications • DC.1.1.4, cc#4: The system provide the ability to produce a CCD that includes the following sections: Functional Status, Immunizations, Medical Equipment and Plan of Care. • The LTC FP and CCHIT criteria include additional functionality related to receipt, display, incorporation, creation and transmission of summary documents and content that are not included in the ONC standards. These criteria are applicable to EHRs regardless of setting.
Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Clinical Summary (Ambulatory setting only)
Clinical Summary Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Clinical Summary — Ambulatory setting only ONC Requirements Found in LTC FP & CCHIT 2011
Clinical Summary — Ambulatory setting only ONC Requirements Found in LTC FP & CCHIT 2011
Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • View, download, and transmit to 3rd party
View, Download, and Transmit to 3rd PartyComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011
View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011
View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011
View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011
View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011
View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011
Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Data Portability
Data PortabilityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Data Portability – ONC Requirements Found in LTC FP & CCHIT 2011 LTPAC
Data Portability – LTC FP & CCHIT Requirements NOT in ONC 2014 Edition • ONC requirements for Data Portability do not require or reference the inclusion of some clinical content important to LTPAC providers and included in the LTC FP (see bold text): • DC.1.1.4, cc#3: The system SHALL provide the ability to produce a CCD that includes at least the following sections: Advance Directives, Problems, Alerts, and Medications • DC.1.1.4, cc#4: The system provide the ability to produce a CCD that includes the following sections: Functional Status, Immunizations, Medical Equipment and Plan of Care. • The LTC FP and CCHIT criteria include additional functionality related to receipt, display, incorporation, creation and transmission of summary documents and content that are not included in the ONC standards. These criteria are applicable to EHRs regardless of setting.
Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Demographics
Patient DemographicsComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Patient Demographics – ONC Requirements Found in LTC FP & CCHIT 2011
Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Clinical Health Information • Problem List • Medication List • Medication Allergy List • Clinical Information Reconciliation
Clinical Health Information Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Clinical Health Information Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony
Clinical Health Information Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony